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Nancy Long
Professional Counselor in Peoria, Illinois
NPI 1629407044

Nancy Long is a Professional Counselor based in Peoria, IL and is specialized in Professional. Nancy Long practices in Peoria, IL. The NPI Number for Nancy Long is 1629407044 and holds a License No. 180.003331 (Illinois).

The current practice location address for Nancy Long is 130 N Richard Pryor Pl, Peoria, IL and can be reached out via phone at 309-671-8084.

Location: 130 N Richard Pryor Pl, Peoria, IL, 61605-2484
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629407044
Provider Name
Nancy Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
130 N Richard Pryor Pl, Peoria, IL, 61605-2484
Phone Number
309-671-8084
Fax Number
Provider Enumeration Date
11/06/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180.003331 01 IL IL LCPC
institution
Provider Business Practice Location Address Details
Address
130 N Richard Pryor Pl
City
Peoria
State
Illinois
Zip
61605-2484
Phone Number
309-671-8084
Fax Number
person
Provider Business Mailing Address Details
Address
130 N Richard Pryor Pl
City
Peoria
State
Illinois
Zip
61605-2484
Phone Number
309-671-8084
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
180.003331 (Illinois)
Definition
Definition to come...
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